Download your own copy of a booklet entitled Essential Information: A Patient’s Guide. In partnership with the IWMF, this booklet is part of a global initiative to educate patients. It answers all the questions that you might typically ask of your hematologist. Its authors are the most senior WM researchers at the Mayo Clinic, the Bing Center for WM, and the IWMF.
Waldenstrom Macroglobulinemia (WM) is a rare, slow-growing cancer of the lymphatic system. Cancers of the lymphatic system are called lymphomas. To understand WM, it’s helpful to know some basic information about your body’s lymphatic system and the function of lymphoid tissue.
What is the lymphatic system?
The lymphatic system is made up of a large network of vessels, organs, and tissues that help your body fight disease and infection. Lymphoid tissue can be found in many places in the body, including:
There are three types of blood cells:
Lymphoid tissue is made mostly of white blood cells, or lymphocytes. There are two main types of lymphocytes: B lymphocytes (B cells) and T lymphocytes (T cells). Normally, B cells help your body fight infection by turning into plasma cells. It’s the job of plasma cells to make antibodies – also called immunoglobulins or Ig for short – the proteins that help your body protect itself against infection and other types of threats. There are five main types of antibodies, known as IgA, IgD, IgE, IgG, and IgM.
How does WM affect the lymphatic system?
WM is a cancer that starts in your B cells. When a person has WM, there is a change, or mutation, to their B cells resulting in the production of an abnormal lymphocyte-plasma hybrid cell. These abnormal cancer cells multiply over and over again, eventually taking over the bone marrow leading to a shortage of healthy blood cells in their body.
In WM, these cancer cells make abnormally large amounts of a specific antibody, called IgM. IgM is the largest of all the antibodies, called a macroglobulin. Usually, people have very low levels of IgM in their blood at any given time. With WM, you get high levels of IgM in your blood. Because of IgM’s large size and bulky structure, the blood becomes very thick. This is called hyperviscosity. Thick, or viscous blood, cannot flow easily through your body. This can lead to many of the symptoms associated with WM, including excess bleeding, vision problems, cardiovascular complications and nervous system issues.
What type of lymphoma is WM?
WM is a type of lymphoma called non-Hodgkin lymphoma. Non-Hodgkin lymphoma is not a single disease; it refers to a group of different cancers that start in the lymphocytes (white blood cells). WM is the most common form of one specific subtype of non-Hodgkin lymphoma. That subtype is called lymphoplasmacytic lymphoma (LPL). WM cells are lymphoplasmacytic, meaning they have features of both plasma cells and lymphocyte cells.
WM is a slow-growing lymphoma and does not always require treatment. If you don’t have any symptoms, you typically do not need to be treated. If you do develop symptoms, treatment is needed.
While there is no cure for WM, there are different types of treatments that can lessen the symptoms and control the disease for many years.